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Optum Health Coding Risk Adjustment Jobs in Pennsylvania

... coding or healthcare technology. Strong knowledge of outpatient CDI, ICD-10-CM coding, HCC risk adjustment, quality risk methodologies. CRC and ambulatory workflows. Demonstrated experience ...

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Optum Health Coding Risk Adjustment information

See Pennsylvania salary details

$15

$26

$38

How much do optum health coding risk adjustment jobs pay per hour?

As of Jul 16, 2026, the average hourly pay for optum health coding risk adjustment in Pennsylvania is $26.42, according to ZipRecruiter salary data. Most workers in this role earn between $21.68 and $29.62 per hour, depending on experience, location, and employer.

What are the typical daily responsibilities of an Optum Health Coding Risk Adjustment specialist?

On a daily basis, Optum Health Coding Risk Adjustment specialists review medical records to identify and accurately code diagnoses, ensuring completeness and compliance with risk adjustment requirements. They collaborate closely with clinical teams and other coders to clarify documentation and resolve discrepancies. The role often involves conducting chart audits, submitting coding queries, and staying updated on the latest coding guidelines and regulatory changes. Attention to deadlines and maintaining data quality are key parts of the job, making it both detail-oriented and highly collaborative.

What is an Optum Health Coding Risk Adjustment job?

An Optum Health Coding Risk Adjustment job involves reviewing medical records to assign appropriate diagnosis codes that impact risk adjustment programs. These coders ensure accurate documentation of chronic conditions to support healthcare reimbursement models. They work with providers to improve coding accuracy and compliance with regulatory guidelines. Strong knowledge of ICD-10-CM coding, risk adjustment models, and healthcare regulations is essential.

What are the key skills and qualifications needed to thrive in the Optum Health Coding Risk Adjustment position, and why are they important?

To thrive as an Optum Health Coding Risk Adjustment professional, you need a strong understanding of ICD-10-CM coding, risk adjustment methodologies, and medical terminology, often supported by certifications like CPC, CRC, or CCS-P. Familiarity with electronic medical record (EMR) systems, coding software, and compliance tools is essential. Attention to detail, analytical thinking, and effective communication are valuable soft skills in this role. These competencies ensure accurate coding, regulatory compliance, and optimal risk adjustment, directly impacting healthcare quality and reimbursement.

What are popular job titles related to Optum Health Coding Risk Adjustment jobs in Pennsylvania? For Optum Health Coding Risk Adjustment jobs in Pennsylvania, the most frequently searched job titles are:
What job categories do people searching Optum Health Coding Risk Adjustment jobs in Pennsylvania look for? The top searched job categories for Optum Health Coding Risk Adjustment jobs in Pennsylvania are:
Infographic showing various Optum Health Coding Risk Adjustment job openings in Pennsylvania as of July 2026, with employment types broken down into 82% Full Time, 12% Part Time, and 6% Contract. Highlights an 76% In-person, and 24% Remote job distribution, with an average salary of $54,950 per year, or $26.4 per hour.

Nurse Practitioner (PRN) - Health Risk Assessments

Hueman Risk Adjustment Solutions

Punxsutawney, PA

Contractor

Posted 17 days ago


Job description

Hueman is actively hiring Nurse Practitioners to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in and around Punxsutawney, PA.

This unique opportunity adapts to your lifestyle, giving you the freedom to achieve your professional goals on your terms, all while enjoying a schedule designed with your preferences in mind. Whether it be for supplemental income or the desire for community connection, this position invites you to become an integral part of the thriving HRA landscape, fostering connections that go beyond the clinic. 

Benefits include:   

  • Competitive compensation and travel reimbursement  
  • Flexible schedule 
  • Comprehensive home assessment training 
  • Dedicated patient scheduling assistance 
  • Liability insurance options 

Position Summary 

Qualified Nurse Practitioners interested in this position will have the opportunity to interact with members in a more intimate setting. Unlike a typical clinic visit, this role allows NPs to connect with patients on a more personal and effective level. Nurse Practitioners performing HRAs are not required to treat or prescribe in the home.  

Nurse Practitioner Responsibilities 

  • Travel to and from patients’ homes. 
  • Perform comprehensive, non-invasive physical assessments. 
  • Review medical history and ensure accurate and timely documentation.  
  • Conduct medical reconciliation to ensure patient safety and compliance. 
  • Provide basic patient education on wellness and preventative healthcare measures.  

Nurse Practitioner Qualifications and Experience Requirements:  

  • Master’s Degree OR commensurate experience and satisfactory completion of NP license 
  • Active State NP license 
  • Active National board certification 
  • Current BLS certification 
  • 12 months of experience as a paid advanced clinical provider is preferred but not required 

To learn more about this position, please use this link to schedule a call with a member of our recruitment team.  
About Hueman 

At Hueman, we're dedicated to guiding you toward fulfilling career opportunities.  

We believe that happiness should be a fundamental part of every role in risk assessment. Our opportunities provide flexibility, extra income, and integration into your local healthcare network. If this resonates with your idea of career satisfaction, allow us to assist you in discovering your next healthcare position! 

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